Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.27 / $14.12 / $16.94	Facility	26	$11.27	$14.12	$16.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.58 / $120.32 / $530.72	Professional		$92.58	$120.32	$530.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.77 / $14.23 / $69.97	Professional	26	$11.77	$14.23	$69.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $80.22 / $104.31 / $460.75	Professional	TC	$80.22	$104.31	$460.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.19 / $100.11 / $167.69	Professional		$68.19	$100.11	$167.69
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.83 / $12.75 / $18.28	Professional	26	$10.83	$12.75	$18.28
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $56.71 / $85.84 / $149.40	Professional	TC	$56.71	$85.84	$149.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.18 / $151.43 / $244.46	Professional		$98.18	$151.43	$244.46
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.43 / $13.80 / $22.10	Professional	26	$9.43	$13.80	$22.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $80.23 / $138.24 / $201.84	Professional	TC	$80.23	$138.24	$201.84
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.98 / $113.68 / $172.99	Professional		$0.98	$113.68	$172.99
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.13 / $13.56 / $18.07	Professional	26	$0.13	$13.56	$18.07
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.86 / $96.29 / $140.06	Professional	TC	$0.86	$96.29	$140.06
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.98 / $96.94 / $148.28	Professional		$0.98	$96.94	$148.28
Hometown Health Facility/Professional Professional Modifier 26 Low / Median / High Price $0.13 / $11.30 / $16.95	Professional	26	$0.13	$11.30	$16.95
Hometown Health Facility/Professional Professional Modifier TC Low / Median / High Price $0.86 / $76.70 / $131.31	Professional	TC	$0.86	$76.70	$131.31
United Facility/Professional Professional Modifier Low / Median / High Price $97.38 / $121.35 / $214.99	Professional		$97.38	$121.35	$214.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.81 / $10.75 / $22.99	Professional	26	$8.81	$10.75	$22.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $87.35 / $109.85 / $191.62	Professional	TC	$87.35	$109.85	$191.62